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C1 Esterase Inhibitor (Recombinant) Injection

Washington rates for HCPCS J0596 · Ruconest

Injection, C1 esterase inhibitor (recombinant), Ruconest, 10 units

Rates data updated July 2026.

How much does Ruconest (c1 esterase inhibitor recombinant) cost?

$40.74per 10 units

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $40.74 for each 10 units of this drug. The price depends on where it is billed: about $40.74 from a physician practice, and about $51.29 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 10 units. Enter the amount given to see what insurers have agreed to pay for it.

units
In a doctor's office or clinic
$40.74
At a hospital outpatient department
$51.29

The same drug, in the same amount, costs 26% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$40.74$38.90 to $40.74
FacilityA hospital or hospital-owned outpatient department$51.29$38.02 to $74.13

How much rates vary

Facilitymedian $51 · 10th to 90th $36 to $81Professionalmedian $41 · 10th to 90th $37 to $93
$50$100facility $51professional $41

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$40.74
Typical High
$93.33
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$42.66
Typical High
$72.44
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$44.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$75.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$39.81
Typical High
$112.20
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$39.81
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$41.69
Typical High
$100.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$47.86

Where Washington sits

The same service costs 3.0 times more in Delaware than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 15th of 51

$40.74

DE $83.18OK $27.54

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.